Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.14 / $42.24 / $43.93	Facility	26	$30.14	$42.24	$43.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $59.70 / $129.71	Professional		$59.04	$59.70	$129.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $30.14 / $66.14	Professional	26	$29.15	$30.14	$66.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $29.25 / $63.57	Professional	TC	$25.17	$29.25	$63.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $85.91 / $85.91	Professional		$85.91	$85.91	$85.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $67.55 / $92.76	Professional		$43.25	$67.55	$92.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $87.83 / $115.72	Professional		$67.84	$87.83	$115.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $52.19 / $73.30	Professional	26	$35.88	$52.19	$73.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $33.25 / $51.00	Professional	TC	$21.24	$33.25	$51.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $176.34	Facility	26	$83.68	$83.68	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $71.13 / $153.47	Professional		$56.02	$71.13	$153.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $45.31 / $234.92	Professional	26	$32.83	$45.31	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.34 / $244.63	Professional	TC	$18.62	$28.34	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $67.48 / $106.72	Professional		$53.99	$67.48	$106.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.06 / $40.54 / $67.59	Professional	26	$32.06	$40.54	$67.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $26.85 / $47.06	Professional	TC	$18.09	$26.85	$47.06